MEDICARE: LINDA ZAREMBA RNC, NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	F360079-1	NY
2	363LX0001X	Obstetrics & Gynecology Nurse Practitioner	F360079-1	NY

General Provider Information

NPI Number	:	1215091988
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA ZAREMBA RNC, NP

Provider Business Mailing Address
First Line	:	200 PANTIGO PL
Second Line	:	SUITE N
City	:	EAST HAMPTON
State	:	NY
Zip	:	11937-5920
Country	:	US
Telephone Number	:	631-329-6500
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 PANTIGO PL
Second Line	:	SUITE N
City	:	EAST HAMPTON
State	:	NY
Zip	:	11937-5920
Country	:	US
Telephone Number	:	631-329-6500
Fax Number	:	631-324-8992

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/20/2006
Last Update Date	:	03/21/2016

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